Mercy Health - Willard Hospital – Critical Access Hospital, NPI 1790731016

Mercy Health - Willard Hospital is a healthcare provider. based in Cincinnati, Ohio. specializing in Critical Access Hospital. The NPI Number for Mercy Health - Willard Hospital is 1790731016

Main info

Organization
Name
Mercy Health - Willard Hospital
NPI
1790731016
Phone
(419) 964-5000
Address
PO BOX 636547
Authorized Official
MS. BUFFY LYNN DETTERMAN CEO
Enumeration Date
26 May 2006
Last Update Date
1 February 2022

Contacts

Main Contact
https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:20State licenses:0Updated within 12 months

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Provider Addresses for Mercy Health - Willard Hospital

  • PO BOX 636547

    CINCINNATI, OH 452636547

    Phone: (419) 964-5000

    Fax: (419) 964-5178

    Type: Mailing

  • Mercy Health Willard Hospital, 1100, Neal Zick Road, Willard, New Haven Township, Huron County, Ohio, 44890, United States

    WILLARD, OH 448909287

    Phone: (419) 964-5000

    Fax: (419) 964-5178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20071009000675OCritical Access HospitalOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

What unique ID ties claims to Mercy Health - Willard Hospital?
NPI 1790731016 is assigned to Mercy Health - Willard Hospital under the national enumeration system.
Does this profile mean Mercy Health - Willard Hospital is currently active?
Yes — Mercy Health - Willard Hospital appears active in the national provider directory.
What field does Mercy Health - Willard Hospital work in?
You can think of Mercy Health - Willard Hospital as practicing within Critical Access Hospital. Clinical services aligned with this taxonomy classification.
Where is Mercy Health - Willard Hospital's primary listing?
We display Cincinnati, Ohio because that is what the record indicates for Mercy Health - Willard Hospital.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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